Post-Covid-Syndrome (Long Covid) and Chinese Medicine

Munich - May 29-30, 2021

Jens Vanstraelen (MD TCM)

Cologne 2021

Main Symptoms:

• chest oppression

• shortness of breath

• cough

• phlegm (Tan Yin)

• heavy feeling / pain

• exhaustion

Pulse and Tongue:

• Ru > Hua (damp > phlegm)

• Xian (Qi > stagnation)

• Chen (internal)

• Ruo > Xu (deficiency)

• sticky tongue coating

• dark tongue borders or a dark tongue body

Pathway:

• respiratory diseases

• thorax

• Lung

• membranes

• blood vessels

Pathway Wen Bing:

• Wei > Qi > Ying > Xue

• Qi (Lung) > Ying (Xin Bao)

Thorax in TCM:

connects:

• Lung, Xin Bao and Heart

• Qi > tube > membranes > blood vessels

• function is coordinated by Zong Qi

Concept of Xue Fu 血府mansion of blood (meeting place)

TCM concept Xue Fu 血府

• Su Wen chapter 74: Jing Mai Bie Lun

• Wang Qing Ren concept Xue Fu Zhu Yu Tang

Development of Post-Covid:

• damp toxin stagnates

• Yang-Qi circulation

• from Qi to Ying (Xue)

• Qi and Xue Luo (collaterals and vessels)

• Zong-Qi weakness

Fu Zheng Qu Xie:

• Damp stagnation

• excess

• Spleen, Lung, Heart Xu, Zong Qi Xu

• deficiency

Acupuncture:

• Lu.9, PC. 6, Ren.17, Lu. 1

• Bl. 13, 14, 15,17, 43

• Sp.9, St. 40, PC. 5

• Liv.3, Li. 4

Case 1: Female, Mrs. B., 35 Years Old

• Covid in OCT/2020

• tightness, pain in the chest and back

• exhausted

• bloating and soft stool

Diagnosis:

• Pulse Lung and Heart Xu > Ruo

• Tongue pale with a dark tip

• Diagnosis Lung Xu with stagnant

Qi und Xue Luo

• Treatment Tou Luo Shuang Qi

Herbs:

Gua Lou Pi 12g Xie Bai 6g

Jie Geng 3g Ban Xia 6g

Zhi Ke 6g Yu Jin 6g

Ze Lan 9g Xiang Fu 6g

Xuan Fu Hua 6g Si Gua Lou 6g

Formulas:

•Gua Lou Xie Bai Ban Xia Tang

•Xuan Fu Hua Tang

Result after 4 weeks:

• less tightness in the chest and back

• more vitality

• Tongue: less dark

• Pulse: > Ru

Case 2: Female, 58 Years Old

•Covid in March 2021 (GB)•Tightness / Pain in the Chest•Shortness of breath and Palpitation •Dark skin on the chest and neck •Pulse: weak at cun position (Lung and Heart) and uneven•coagulation disorder

Tongue:

Diagnosis:

• Post Covid

• Qi, phlegm and blood stasis

• Zong Qi Xu (Qi and Yin)

Formula:

Tai Zi Shen 12g Wu Wei Zi 6g

Mai Dong 9g Shan Yao 12g

Nan Sha Shen 9g Hu Zhang 9g

Dan Shen 9g Xuan Fu Hua 6g

Ze Lan 9 Ba Yue Cha 9g

Gua Lou Pi 9g

Tongue: after 3 weeks